PS11-003 Minority AIDS Research Initiative

PS11-003 少数民族艾滋病研究计划

• 批准号: 8403471
• 负责人: Margaret Rose Pereyra
• 金额: $ 28.19万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8403471
• 关键词: PS11; 003; Minority; AIDS; Research

This proposal responds to the category number 5 - "Health Services Research to Assess Feasibility of Dental-based, Pharmacy-based, or other Non-traditional Venue-based HIV Testing and Linkage to Care Opportunities in Underserved Communities" listed in the funding announcement RFA-PS-11-003, Minority HIV/AIDS Research Initiative (MARI) to Build Capacity in Black and Hispanic Communities and Among Black and Hispanic Researchers to Conduct HIV/AIDS Epidemiologic and Prevention Research. The recent introduction of rapid HIV testing offers an especially promising screening approach for facilitating earlier diagnosis of HIV infection. In September, 2006, the Centers for Disease Control and Prevention (CDC) released new testing guidelines making it a priority to bring HIV screening into outpatient health care settings. In December, 2008, the American College of Physicians and HIV Medicine Association issued a guidance statement that recommended that all patients over the age of 13 should be encouraged to receive an HIV test at least once. Several national meetings organized by the CDC, the National Association of Community Health Centers and state dental associations have discussed the roll-out of rapid HIV testing in the dental care setting. Some dentists have also begun to offer HIV rapid testing in their practices. Yet, despite these advances, little data are currently available that inform the feasibility of offering such services. One area of particular interest is that patients do not expect to be offered HIV testing in the dental care setting, and therefore may not accept such services if offered. This has been a concern for dentists in considering offering HIV testing in the dental care setting. To fill this need for information, we propose to explore patients' perspectives about oral HIV rapid testing in the dental care setting. We will conduct a combination of patient interviews, dental record reviews, and qualitative interviews with dentists and dental hygienists to 1) determine the rate at which patients accept an oral HIV rapid test in the dental care setting when offered by a dentist or dental hygienist, 2) describe the reasons patients report for accepting or rejecting an offer of an oral HIV rapid test in the dental care setting, and 3) describe dentists' and dental hygienists' attitudes toward offering and conducting oral HIV rapid testing in the dental care setting. The data collected in this study will be used to inform public health officials, dental care professionals, policymakers and researchers about factors associated with patients' acceptance of oral rapid HIV testing in the dental care setting. The study will also help to identify settings and/or groups of patients most inclined to accept HIV rapid testing in the dental care setting and will provide findings relevant to resource allocation. The proposed project will be a collaboration among the University of Miami Miller School of Medicine, the Jessie Trice Community Health Center, and Care Resource, Inc., all in Miami- Dade County, Florida. Dr. Margaret Pereyra, a Dominican-American Assistant Professor of Epidemiology and Public Health at the University of Miami Miller School of Medicine, will serve as Principal Investigator and will be mentored by Dr. Lisa Metsch, Professor of Epidemiology and Public Health, with over 17 years of experience in conducting NIH and CDC-funded HIV prevention and care research.

该提案响应类别 5——“评估健康服务研究” 基于牙科、药房或其他非传统场所的 HIV 检测的可行性 以及与服务不足社区的护理机会的联系”在资金中列出 公告 RFA-PS-11-003，少数群体艾滋病毒/艾滋病研究计划 (MARI) 能力建设 在黑人和西班牙裔社区以及黑人和西班牙裔研究人员中进行 艾滋病毒/艾滋病流行病学和预防研究。 最近推出的快速艾滋病毒检测提供了一种特别有前途的筛查方法 促进艾滋病毒感染的早期诊断。 2006 年 9 月，疾病中心 控制与预防 (CDC) 发布新检测指南，优先考虑携带艾滋病毒 对门诊医疗机构进行筛查。 2008年12月，美国大学 医生和艾滋病毒医学协会发布了一份指导声明，建议： 应鼓励所有 13 岁以上的患者至少接受一次 HIV 检测。 CDC、全国社区卫生协会组织的多次全国会议 各中心和州牙科协会已经讨论了在该地区推出快速艾滋病毒检测的问题 牙科护理环境。一些牙医也开始在他们的诊所中提供艾滋病毒快速检测服务。 然而，尽管取得了这些进展，目前几乎没有数据可以说明该技术的可行性 提供此类服务。一个特别令人感兴趣的领域是患者并不期望 在牙科护理机构中提供艾滋病毒检测，因此在以下情况下可能不会接受此类服务： 提供。这是牙医在考虑在牙科诊所提供艾滋病毒检测时所关心的问题。 护理设置。 为了满足这种信息需求，我们建议探讨患者对口腔艾滋病毒的看法 在牙科护理环境中进行快速测试。我们将结合患者访谈， 牙科记录审查以及对牙医和牙科保健员的定性访谈 1) 确定患者在牙科护理环境中接受口腔 HIV 快速检测的比率 当牙医或牙科保健员提供时，2) 描述患者报告的原因 接受或拒绝在牙科护理机构中进行口腔 HIV 快速检测的提议，以及 3) 描述牙医和牙科保健员对提供和进行口腔艾滋病快速检测的态度 在牙科护理环境中进行测试。本研究收集的数据将用于告知公众 卫生官员、牙科保健专业人员、政策制定者和研究人员了解因素 与患者在牙科护理环境中接受口腔快速艾滋病毒检测有关。这 研究还将有助于确定最容易接受艾滋病毒的环境和/或患者群体 在牙科保健环境中进行快速测试，并将提供与资源分配相关的结果。 拟议的项目将是迈阿密大学米勒学院之间的合作 Medicine、Jessie Trice 社区健康中心和 Care Resource, Inc. 均位于迈阿密 - 佛罗里达州戴德县。 Margaret Pereyra 博士，多米尼加裔美国助理教授 迈阿密大学米勒医学院的流行病学和公共卫生学院将服务 作为首席研究员，并将受到流行病学教授 Lisa Metsch 博士的指导 和公共卫生部门，在开展 NIH 和 CDC 资助的艾滋病毒防治工作方面拥有超过 17 年的经验 预防和护理研究。